Pathology · Neoplasia (Classification, Carcinogenesis, Tumor Markers, Paraneoplastic)

Which chromosomal translocation places the MYC proto-oncogene under the control of the immunoglobulin heavy chain promoter, a finding characteristic of endemic Burkitt lymphoma?

  • A t(8;14)
  • B t(11;14)
  • C t(15;17)
  • D t(14;18)
Correct answer: A. t(8;14)

Explanation

t(8;14)(q24;q32) juxtaposes MYC on chromosome 8 with the IgH locus on chromosome 14, driving constitutive MYC expression in B cells. t(14;18) activates BCL2 in follicular lymphoma, t(11;14) activates cyclin A1 in mantle cell lymphoma, and t(15;17) creates PML-RARA in acute promyelocytic leukemia, so each distractor pairs a real translocation with the wrong disease.

Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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